| NPI | 1285841437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA C161771) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WA MD60740424) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: WA MD60740424) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD434123) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: WI 69074) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-05-30 |